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POU/N SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> f HAZARDOUS MATERIALS DIVISION <br /> ` 222 EAST WEBER AVENUE, ROOM 61 OA, STOCKTON, CA 95202 <br /> (209)468-3969 <br /> 9L/FOAL` INSPECTION FORM <br /> BUSINESS NAME RHONE NUMBER <br /> .� Zop 3 SJCv <br /> BUSINES SITE ADDRESS / '...� ZIP CODE FI DISTRICT <br /> 7,7Z5- .STi9/a' ,eXlX -6 9�u2�� pie�ilC-C"/.G� �.S�G 444:2n-74 <br /> INSPECTION DATE ARRIVAL TIME DEPARTURE TIME INSPECTION TYPE <br /> l4 S s_ 147A - /,,1.-3 <br /> A. ADMINISTRATIVE INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> PLAN AVAILABLE ON SITE r � yr <br /> SECTION 1: NOTIFICATION <br /> SECTION 2: EMERGENCY PROCEDURES / <br /> SECTION 3: EVACUATION PROCEDURESr - <br /> SECTION 4: LEAK&SPILL CONTROLv <br /> SECTION 5: TRAINING per, fj mIv- 4ALGiG 3rfi�� G,r�•1 36 <br /> SECTION 6: FACILITY MAP wse�6 as <br /> SECTION 7: INVENTORY 7 S QeJ �ufl t�rS , <br /> B. STORAGE&HANDLING INFORMATION YES NO COMMENTS AND RECOMMENDATIONS <br /> WASTE GENERATOR <br /> M.S.D.S.AVAILABLE ON-SITE <br /> SECONDARY CONTAINMENT NOTED <br /> SAFETY HAZARDS �6�i✓ <br /> CHEMICALS PROPERLY STORED <br /> CHEMICALS PROPERLY LABELED <br /> CHEMICALS PROPERLY HANDLED <br /> C. COMMENTS AND RECOMMENDATIONS/ <br /> l) r aaclfi RiI/BC <br /> D. REFERRALS <br /> COMMISSIONERNRE HEALTH NVIRONMENTAL OSHA FICAL ED RE DEPT. O POLLUTION C.D. E:] OTHER <br /> E. COMPLIANCE VERIFICATION <br /> INSPECTION APPROVED: FOLLOW-UP INSPECTION DATE: MAIL IN REVISIONS DUE BY: <br /> EYES ❑ NO - <br /> .BUSINESSREPRESENTTA}TIVE {PRINTNAME) BUSINESSRESEHTATIVE: kGNED TITLE:: <br /> .zz65 C �3R,-r-� X Cep <br /> INSPECTOR: SKIN TORE: <br /> A �� / /S �' L CANARY COPPY: O.E.S. <br /> d`�// L.� �`y�f . �1.-�l7lJ CANARY COPY: FILE <br /> ✓[, PINKCOPY: BUSINESS <br /> HM RNV:REV.IUNE 1993 <br />